ASIAN PACIFIC COUNSELING AND TREATMENT CENTERS
  • Home
  • About Us
    • History and Mission
    • APCTC Staff
    • APCTC Board
  • Programs and Services
    • Enrolling in Services
    • Resources
    • Media
  • Join Us
    • Employment Opportunities
    • Training Opportunities
    • 2023 ART SHOWCASE - THIS IS MY VOICE
    • 2022 ART SHOWCASE - MAKE A DIFFERENCE TOGETHER
    • 2021 ART SHOWCASE - JOURNEY OF HEALING
    • Los Angeles County Events
    • Riverside County Events
  • DONATE
  • Contact Us
  • FAQS
  • FORMS

APCTC FORMS

These documents recently have been updated.  Translations to other languages will be available soon.  
CONSENT FORM - ENGLISH
CONSENT FORM - SPANISH
APCTC WELCOME PACKET - ENGLISH

LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH FORMS 

notice of privacy practices - english
notice of privacy practices - spanish
medi-cal beneficiary handbook - multiple languages
patients' rights consumer resource directory - english
beneficiary/client grievance or appeal and authorization forms - multiple languages
REQUEST FOR CHANGE OF PROVIDER FORM - ENGLISH
REQUEST FOR CHANGE OF PROVIDER FORM - SPANISH

LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH PROVIDER DIRECTORY

LINK TO DIRECTORY

Home

About Us

Programs and Services

Join Us

DONATE

​Contact Us

FORMS 

Copyright © 2015
Picture
  • Home
  • About Us
    • History and Mission
    • APCTC Staff
    • APCTC Board
  • Programs and Services
    • Enrolling in Services
    • Resources
    • Media
  • Join Us
    • Employment Opportunities
    • Training Opportunities
    • 2023 ART SHOWCASE - THIS IS MY VOICE
    • 2022 ART SHOWCASE - MAKE A DIFFERENCE TOGETHER
    • 2021 ART SHOWCASE - JOURNEY OF HEALING
    • Los Angeles County Events
    • Riverside County Events
  • DONATE
  • Contact Us
  • FAQS
  • FORMS